Blue Horizon Medical Clinic L.L.C.

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

BLUE HORIZON MEDICAL CLINIC L.L.C.

Practice address

5101 E Busch Blvd Ste 11
Tampa, FL 33617-5380

Phone

(813) 899-9797

Fax

(813) 433-5553

NPI assigned

Jul 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Sharon Denise Blue, DNP, APRN, ANP-CNPI 1750724993

Title

Ceo, Owner

Phone

(813) 899-9797

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon Denise Blue, A.R.N.P.-C

  • Adult Health Nurse Practitioner
  • Tampa, FL
  • NPI 1750724993
  Medicare reassignment Care Compare group NPD Authorized official
• Jacquelyn Boberg, APRN

  • Family Nurse Practitioner
  • Cape Coral, FL
  • NPI 1235611286
  Medicare reassignment Care Compare group NPD
• Chiquita Kawanda Lynn-Walker, ARNP

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1306307046
  Medicare reassignment Care Compare group NPD
• Sulia Perez, APRN

  • Family Nurse Practitioner
  • Fort Myers, FL
  • NPI 1548932486
  Medicare reassignment NPD
• Diana Joyner, FNP

  • Family Nurse Practitioner
  • Tampa, FL
  • NPI 1821934696
  Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1235512138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 WRENCREST DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437845",
            "telephone_number": "813-899-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 E BUSCH BLVD STE 11",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336175380",
            "telephone_number": "813-899-9797",
            "fax_number": "813-433-5553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE HORIZON MEDICAL CLINIC L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-09",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "BLUE",
        "authorized_official_first_name": "SHARON",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CEO, OWNER",
        "authorized_official_telephone_number": "813-899-9797",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DNP, APRN, ANP-C"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008854200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Nurse Practitioner in Tampa, FL
• Providers in Tampa, FL by specialty
• Primary Care Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.